| NPI | 1003495896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE GANS CEO 888-411-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2024-01-24 |