| NPI | 1114721370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYLAN ROSENBERG NIEVES PALMA Licensed Mental Health Counselor 656-233-3137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-04 |