| NPI | 1538925144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY BENJAMIN Owner 475-221-2406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |