| NPI | 1366027088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MEIER Mental Health Therapist 144-361-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-15 |