NPI | 1801520812 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYMOND L MORAN Owner 620-515-1080 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-07-14 |
Last Update Date | 2024-11-20 |