NPI | 1669178349 |
---|---|
Doing Business As | THE PLACE |
Entity Type | Organization |
Authorized Contact | AMBER V SCREEN President 863-777-3869 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-02-03 |
Last Update Date | 2023-02-03 |