| NPI | 1932510385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN WATKINS President/CEO 567-343-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2024-09-20 |