| NPI | 1467311357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE L HANDLEY President 424-248-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-01-17 |
| Last Update Date | 2026-02-24 |