| NPI | 1245103670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILENE MAJDALANI Mbr 754-757-5422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |