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 |