| 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 |