| NPI | 1396535639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA SEGAL Owner 267-272-5536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |