| NPI | 1588390967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE A LINTON-DUDLEY Mental Health Clinician/Director 179-940-2879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |