| NPI | 1669125480 |
|---|---|
| Doing Business As | THE ANDRE KENNEDY CENTER FOR INTEGRATED BEHAV HEALTH AND URGENT CENTR |
| Entity Type | Organization |
| Authorized Contact | VANESSA LYLE Billing / Credentialing 667-212-3626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |