NPI | 1194556506 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDI SWEET CEO 385-214-3133 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2024-08-08 |
Last Update Date | 2024-08-08 |