NPI | 1770358897 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN LESLIE Owner 501-255-9131 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-11-20 |
Last Update Date | 2024-08-14 |