| NPI | 1033921168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIAN KRASNER CEO 228-546-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-08-25 |