| NPI | 1386371565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERELL HARRIS Owner/Director 567-694-1134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-08-06 |
| Last Update Date | 2025-08-11 |