NPI | 1386341337 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRANCE ORLANDO MARTIN Owner 347-546-1443 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-02-10 |
Last Update Date | 2023-02-10 |