| NPI | 1609451798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN POWELL CEO 800-421-4364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2023-03-15 |