NPI | 1285469536 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSEMARY KWAVEN Provider 571-276-6982 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-09-05 |
Last Update Date | 2024-09-05 |