| NPI | 1225577331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY PINTO MOUTINHO Founder/Director 866-887-6864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CT 797) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 2231) |
| 101YM0800X Counselor, Mental Health (Licence: CT 797) | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2023-05-18 |