| NPI | 1063677425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA REEVES A/R And Billing Manager 667-600-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2024-08-15 |