| NPI | 1588537039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZALMAN LIEBERMAN Member 888-251-2365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |