NPI | 1932664786 |
---|---|
Entity Type | Organization |
Authorized Contact | JAYME JONES President 424-337-1510 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-02-06 |
Last Update Date | 2019-02-06 |