NPI | 1265130520 |
---|---|
Other Name | ROWI BURBANK |
Entity Type | Organization |
Authorized Contact | CANDICE FEINBERG CEO 053-568-3372 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2023-02-16 |
Last Update Date | 2023-02-16 |