| NPI | 1346831070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L RASKIND Owner 267-538-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2024-03-05 |