| NPI | 1396495974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE TURNER Managing & Administrative Director 267-888-2561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-06-08 |