| NPI | 1548155005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL L ADAMS Owner 000-000-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |