| NPI | 1225976814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATANDRA HART Executive Director 980-866-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-03-24 |
| Last Update Date | 2026-04-02 |