| NPI | 1770078917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI LYNN CRANE Owner 251-367-8136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |