| NPI | 1073016440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE DORSEY-BENSON CEO 866-975-7469 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2022-09-29 |