NPI | 1104559848 |
---|---|
Entity Type | Organization |
Authorized Contact | JASMINE CURTIS Credentialing Director 239-236-8784 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-07-08 |
Last Update Date | 2022-07-08 |