NPI | 1760073498 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY LONEY Owner 260-418-2029 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-01-26 |
Last Update Date | 2021-01-26 |