| NPI | 1023602364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN STRAWN Owner 234-360-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2025-07-14 |