| NPI | 1962540922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY VINCENT ARBOUR Assoc Dir Of Tech Services 251-990-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2010-03-23 |