| NPI | 1003455064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY YVONNE MARLIN Psychiatric Np 254-548-2617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-12-22 |
| Last Update Date | 2025-03-20 |