| NPI | 1548838733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN CRATCH CEO 862-253-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X | |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2021-06-14 |