| NPI | 1396247755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADENIA PEREZ LOPEZ Social Worker 980-292-1855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC P011890) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC P011890) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-02 |