NPI | 1629794524 |
---|---|
Entity Type | Organization |
Authorized Contact | ARTRESIA FRYAR Owner 848-229-5237 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2022-10-13 |
Last Update Date | 2022-10-13 |