NPI | 1821775016 |
---|---|
Entity Type | Organization |
Authorized Contact | TRESSA L FRENCH Owner 863-837-8450 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-06-29 |
Last Update Date | 2024-06-06 |