| NPI | 1881024172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MOYNIHAN President Of Behavioral Health 629-256-0597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2024-12-04 |