| NPI | 1205403888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBINE PADBERG HILL Licensed Clinical Social Worker 857-208-3772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |