| NPI | 1942928411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY GATHRIGHT Healthcare Provider/CEO 267-288-5060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2023-07-16 |