| NPI | 1124357421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMA MEHJABEEN HADI Director And Sole Shareholder 331-643-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180005355) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2025-10-16 |