| NPI | 1316625387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LIBIOS Owner/Director 737-275-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |