NPI | 1356073878 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES K GILLAND Owner/President 385-378-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2022-06-24 |
Last Update Date | 2024-07-10 |