| NPI | 1023736352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AQUANDALLA DAVIS Licensed Marriage And Family Therap 347-394-9283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |