| NPI | 1396313060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE OPALKA Chief Administrative Officer 844-646-3247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2023-03-06 |