| NPI | 1912362252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIS CROMER Clinical Operations Manager 855-446-4374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2023-01-19 |