| NPI | 1396328159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ZOMBIL Executive Director 082-197-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2025-11-06 |