| NPI | 1447643853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CIAMPI CEO 800-892-2695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2023-07-13 |