| NPI | 1356086094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL CASTILLA CEO 346-333-2794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |