NPI | 1235408022 |
---|---|
Entity Type | Organization |
Authorized Contact | MARVENA TWIGG President/CEO 888-202-2965 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2011-12-22 |
Last Update Date | 2019-03-05 |