NPI | 1376317776 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIKKI N ROSS CEO 478-333-2735 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-11-07 |
Last Update Date | 2023-11-07 |