NPI | 1184515439 |
---|---|
Doing Business As | THE SANCTUARY CLINIC |
Entity Type | Organization |
Authorized Contact | MICHAEL BRANDON GODFREY Chief Clinical Officer 501-420-0906 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-07-14 |
Last Update Date | 2025-07-14 |