| NPI | 1700024296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NOLAN CEO 855-832-6727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1052377) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2025-06-09 |