| NPI | 1952602633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL EVAN APPLETON Officer 877-750-7846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL ME87656) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |