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 |