| NPI | 1811504970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY T TALLEY Executive Director 424-317-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |