| NPI | 1386427748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJA SINJAB Owner/Authorized Official 774-400-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-09-14 |