NPI | 1336961739 |
---|---|
Entity Type | Organization |
Authorized Contact | EDNA MUCHUGU Manager 239-372-6141 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-10-28 |
Last Update Date | 2024-10-28 |