| NPI | 1831343136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DUBYK Associate Executive Director 267-893-5284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2014-09-16 |