| NPI | 1093420895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN HENLEY CEO 888-719-1097 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-01-17 |