NPI | 1881919488 |
---|---|
Other Name | CHILDHOOD TRAUMA TREATMENT PROGRAM |
Entity Type | Organization |
Authorized Contact | GENE S. CARROCCIA Clinical Director 800-216-1110 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
261QM0850X Clinic/Center Adult Mental Health | |
Enumeration Date | 2010-04-07 |
Last Update Date | 2010-04-07 |