NPI | 1255989489 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMED AL RIYO CEO 866-822-7464 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-08-30 |
Last Update Date | 2019-08-30 |