| NPI | 1225258841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA PLANCARTE-GARCIA Assistant Director 442-265-1525 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-03-11 |