NPI | 1588377808 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH R WOODMANSEE Sole Member 765-400-3678 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-01-02 |
Last Update Date | 2023-01-02 |