| NPI | 1194309641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALEEMAH J MCNEIL Executive Director 267-808-2649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |