NPI | 1306449970 |
---|---|
Other Name | EMBARK AT TYSON'S CORNER |
Entity Type | Organization |
Authorized Contact | LAURIE BROWN VP Of Rcm 661-829-4060 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-11-17 |
Last Update Date | 2023-06-20 |