NPI | 1306589775 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER WILLIAMS CEO 754-837-7827 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-04-14 |
Last Update Date | 2022-04-14 |