| NPI | 1659845352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI HOOPER Financial Director 866-678-2425 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |