NPI | 1821815614 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA L LEE Owner/Founder 346-808-8767 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-09-23 |
Last Update Date | 2024-09-23 |