| NPI | 1659736841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON K CEASER President & Chief Executive Officer 888-604-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2016-01-30 |