NPI | 1174205801 |
---|---|
Entity Type | Organization |
Authorized Contact | LEV GRINMAN Owner 844-776-6332 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-08-02 |
Last Update Date | 2024-01-24 |