| NPI | 1003531922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA MARIE MORALES LUGO Licensed Professional Counselor 475-261-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |