| NPI | 1154165389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARCIA MORMAN Owner 980-316-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2026-05-20 |