| NPI | 1184337313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN TENNENBAUM Clinical Psychologist 424-422-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |