| NPI | 1992452726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HAYEN CHARRIER Manager/Owner 888-430-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |