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 |