NPI | 1336561265 |
---|---|
Entity Type | Organization |
Authorized Contact | ORA FRANKEL CEO/Owner 844-692-6824 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: KY 31948) |
Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: KY 31948) |
Enumeration Date | 2014-01-12 |
Last Update Date | 2014-01-12 |