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