| NPI | 1386016939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS C. BYAS CEO 267-348-9916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA QW53141) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |