| NPI | 1467232389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA SERRANO Director 939-208-3079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-09-29 |