| NPI | 1255091831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANNA RODRIGUEZ Owner 347-520-2837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2021-12-23 |