NPI | 1518634500 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEX ENGLISH Co Owner 980-358-1366 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-08-26 |
Last Update Date | 2021-08-26 |