NPI | 1740735117 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAL ANDRIES Owner 772-321-8620 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL MH14206) |
Enumeration Date | 2016-08-16 |
Last Update Date | 2016-08-16 |