| NPI | 1659800357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISBET FRANC CEO 424-744-7961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-06-06 |