| NPI | 1275221343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE QUAYE Pmhnp Bc 862-218-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |