| NPI | 1316113541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY VINCENT ARBOUR Director Of Technical Services 251-990-4203 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |