NPI | 1205134319 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 748-02-029) |
Enumeration Date | 2011-03-14 |
Last Update Date | 2023-04-18 |