| NPI | 1346135266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN LEVY CEO 267-491-9374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-09-05 |