| NPI | 1992454706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNN D. REALE CEO/Owner 726-203-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-20 |
| Last Update Date | 2022-03-20 |