| NPI | 1235279084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-03-05 |