| NPI | 1366275026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED TURNER Billing/Ur Director 772-812-9652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |