| NPI | 1033612072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA HINKLE Owner 385-272-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2025-06-30 |