| NPI | 1619185113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W SLACK VP For Marketing And Bus Dev 800-854-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: ME 322081) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-06-17 |