| NPI | 1003504481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BEANN Chief Executive Officer 833-646-3243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-10-11 |