NPI | 1609337948 |
---|---|
Entity Type | Organization |
Authorized Contact | LENARD ANDERSON Managing Partner 346-237-4282 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QC1500X Clinic/Center Community Health | |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center Adult Mental Health | |
261QM1300X Clinic/Center Multi-Specialty | |
Enumeration Date | 2019-03-28 |
Last Update Date | 2019-10-24 |