NPI | 1871087205 |
---|---|
Entity Type | Organization |
Authorized Contact | OOSHIE OLDHAM Owner 866-342-8847 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2018-06-19 |
Last Update Date | 2018-06-19 |