| NPI | 1245940600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA GRACIA HOLDER EVP & Chief Financial Officer 267-426-6022 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2024-08-23 |