| NPI | 1114451465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL BENITEZ President 939-276-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |