| NPI | 1013691351 |
|---|---|
| Doing Business As | CENTRAL BEHAVIORAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | FATIMAH THIAM RN 254-803-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |