NPI | 1144812876 |
---|---|
Entity Type | Organization |
Authorized Contact | LEA HUMMEL Director 747-888-7911 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-02-04 |
Last Update Date | 2021-02-04 |