| NPI | 1578328290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER VATH Vice President And Director 800-866-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-05-29 |