NPI | 1649530957 |
---|---|
Former Legal Business Name | LEAN ON ME INC. |
Entity Type | Organization |
Authorized Contact | WASCAR CRUZ Owner 208-200-4494 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251B00000X Case Management |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2012-05-21 |
Last Update Date | 2012-05-21 |