| NPI | 1003424870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRETT DWYER Chief Financial Officer 888-224-7332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2024-11-13 |