| NPI | 1760266811 |
|---|---|
| Former Legal Business Name | KATRINA KING LLC |
| Entity Type | Organization |
| Authorized Contact | KATRINA L KING-THOMAS Owner 724-388-5052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-22 |