| NPI | 1649516527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVENA TWIGG President/CEO 888-688-9964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2019-03-05 |