| NPI | 1376277244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MERCED CEO 862-235-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-14 |