| NPI | 1649878885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI EPPERSON CEO 567-322-7358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-10-10 |
| Last Update Date | 2025-09-22 |