| NPI | 1104963586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON D MCHONE Executive Director 800-482-8305 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2018-11-30 |