| NPI | 1730361767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMARILIS A. LAFONTAINE /President, CEO/Program Director 267-300-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 131470) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 131470) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 131470) | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2025-09-30 |