| NPI | 1154161966 |
|---|---|
| Doing Business As | PERRY HALL MH |
| Entity Type | Organization |
| Authorized Contact | JENNIFER RUDNIK Credentialing Manager 719-423-1341 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |