| NPI | 1669243630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA MCKINNEY Owner 260-348-0463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |