| NPI | 1851000673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA GRACIA HOLDER EVP & Chief Financial Officer 267-426-6022 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-04-04 |