| NPI | 1427730746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALECIA RODRIGUEZ Clinical Director 888-241-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 251S00000X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2024-02-20 |