| NPI | 1245809912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMINE DOMINIQUE-MERVEUS Owner 863-866-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2022-11-24 |