NPI | 1356007934 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM HOCHBERG Owner 239-888-4910 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
Enumeration Date | 2021-11-09 |
Last Update Date | 2021-11-09 |