| NPI | 1134498934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVENA TWIGG President/CEO 888-202-2965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |