NPI | 1841183985 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY THOMAS OBERT CEO; Clinical Psychologist 872-213-5546 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2025-05-29 |
Last Update Date | 2025-07-19 |