| NPI | 1386300549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ANGELA-PATINO HENDERSON Business Owner 385-316-7127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |