| NPI | 1750144762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET ATKINSON-STOCKER Director Of Intake And Client Care 833-799-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-29 |