| NPI | 1639336993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY KAESTNER Executive Director 3193-983-5662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |