| NPI | 1235025859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LAHUTSKAYA CEO 888-470-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |