NPI | 1275267445 |
---|---|
Entity Type | Organization |
Authorized Contact | HELEN TRACEY Therapist 667-213-8242 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-07-13 |
Last Update Date | 2022-07-13 |