NPI | 1467068247 |
---|---|
Entity Type | Organization |
Authorized Contact | NEATHERY THURMOND Owner 125-759-0595 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-09-17 |
Last Update Date | 2021-03-17 |