| NPI | 1295542124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY PEREZ Owner/Outpatient Therapist 984-528-6567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-13 |