NPI | 1376010934 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA L GIVEANS Np 985-290-0402 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2018-10-31 |
Last Update Date | 2018-10-31 |