| NPI | 1275187395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED I BATUUN Manager 844-333-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |