NPI | 1831883925 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA ELAGINA Member 872-760-4353 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2023-06-02 |
Last Update Date | 2023-11-05 |