| NPI | 1205289881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES RODRIGUEZ Theraputic Peer Mentor 857-236-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |