NPI | 1699392423 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH CZOPEK Owner 331-254-4464 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2020-06-27 |
Last Update Date | 2020-06-27 |