| NPI | 1285440453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA VICTORIA DANIELE Director 267-216-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-17 |