| NPI | 1124667456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE TURNER Managing & Administrative Director 888-805-8206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2024-09-17 |