NPI | 1700352481 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY LYNCH Member 479-301-5290 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-10-19 |
Last Update Date | 2018-10-19 |