NPI | 1952704009 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH9929) |
Enumeration Date | 2014-10-03 |
Last Update Date | 2023-03-19 |