| NPI | 1962922278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALNAVE JEAN CEO 857-246-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |