NPI | 1689629990 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS L. GILLIOM CEO 765-446-6535 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2023-03-29 |