NPI | 1841971181 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY K LEVENSTON Manager 571-236-3688 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-07-28 |
Last Update Date | 2023-07-28 |