| NPI | 1679325088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE SEATON CEO 862-316-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-03 |