| NPI | 1316683584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KAY OSTROWSKI Owner 228-331-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |