| NPI | 1306574173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO FERNANDEZ CEO 424-202-4942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 207Q00000X Family Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-10 |