| NPI | 1346972452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIEMAR MORALES-ACUNA Owner 267-541-6098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2023-02-03 |