NPI | 1235939182 |
---|---|
Entity Type | Organization |
Authorized Contact | KATLYNE BRUTUS Pmhnp Bc 857-249-9199 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-03-18 |
Last Update Date | 2025-05-30 |