NPI | 1063017010 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA J HOLBROOK Owner 606-315-3591 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2020-11-30 |
Last Update Date | 2021-06-30 |