| NPI | 1740705813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY HARRINGTON Trustee 551-689-8268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2022-07-21 |