| NPI | 1003085945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON ROXANN HARRINGTON Executive Director/Secretary 754-581-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2020-05-07 |