| NPI | 1902072358 |
|---|---|
| Other Name | FAMILY BASED MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | DONNA K BUSCH Payer Contract Specialist 445-206-3028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2022-02-19 |