NPI | 1215681143 |
---|---|
Entity Type | Organization |
Authorized Contact | KATIE ANN BROWN Owner 774-320-7985 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-02-09 |
Last Update Date | 2022-02-18 |