| NPI | 1104096973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN M GRAFF Executive Director 267-587-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2016-02-10 |