NPI | 1124809389 |
---|---|
Entity Type | Organization |
Authorized Contact | SIERRA BUSH Owner 225-993-3021 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-10-12 |
Last Update Date | 2023-10-12 |