NPI | 1154054906 |
---|---|
Entity Type | Organization |
Authorized Contact | CARMELA YVETTE DRAKE Owner/Private Practice 762-250-9070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-07-07 |
Last Update Date | 2022-07-07 |