NPI | 1114348463 |
---|---|
Doing Business As | COMMUNITY WELLNESS OUTPATIENT MENTAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | VERNON HOLMES CEO 667-309-9920 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2014-01-03 |
Last Update Date | 2024-12-25 |