| NPI | 1245974716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CRUZ Owner 331-244-0956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2024-08-05 |