NPI | 1245985852 |
---|---|
Entity Type | Organization |
Authorized Contact | ESTRELLA E ROGERS Owner 910-218-0006 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-02-14 |
Last Update Date | 2022-02-14 |