| NPI | 1578988556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER KREMPA Owner 251-586-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AL 1854) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |