| NPI | 1346694171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY C RAMEY Owner/Manager 475-777-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 008735) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |