NPI | 1629360284 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA JANICAK Executive Director 877-553-9440 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2011-05-13 |
Last Update Date | 2022-09-28 |