NPI | 1558124297 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY CARLSON Owner/Operator 561-510-0446 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-02-05 |