| NPI | 1548655418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE HARTLEY Director Of Patient Services 844-422-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA LCSW65005) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |