| NPI | 1215676283 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHARITTA ROBERTS Owner 888-902-8002 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2022-05-30 | 
| Last Update Date | 2022-08-30 |