NPI | 1669007472 |
---|---|
Entity Type | Organization |
Authorized Contact | BERNARD DAMON TAYLOR Chief Executive Officer 234-334-3406 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-03-12 |
Last Update Date | 2020-03-12 |