| NPI | 1306194964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIMAH CORNELIUS Owner 340-332-4361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3612) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |