| NPI | 1841902343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER D PATCHET Owner 267-972-0365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2023-01-13 |