NPI | 1689180119 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC SHAPIRO CFO 667-239-3293 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2017-12-20 |
Last Update Date | 2021-06-10 |