| NPI | 1245969336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE BRAZZEL CEO 800-685-9796 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-07-25 |