| NPI | 1841918075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD TAYLOR ROE Owner 346-206-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-01-23 |