| NPI | 1215581822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HARPER Dir Of Operations 857-829-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-06-29 |