| NPI | 1427752351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE MORSCHING Chief Financial Officer 888-364-5977 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2025-07-16 |