NPI | 1437772241 |
---|---|
Entity Type | Organization |
Authorized Contact | ZEMI MOORE Owner 267-528-5429 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
Enumeration Date | 2020-05-27 |
Last Update Date | 2024-05-09 |