| NPI | 1356918403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUNISIA BUISE Founder & CEO 443-384-7927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |