| NPI | 1114348463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON HOLMES CEO 667-309-9920 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2025-07-12 |