| NPI | 1235989906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE SHONIA Director 888-341-4449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 251X00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |