NPI | 1427762236 |
---|---|
Entity Type | Organization |
Authorized Contact | IRENE NDIBAZZA Member 725-240-6540 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2023-01-06 |
Last Update Date | 2024-04-10 |