| NPI | 1487294021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALALEH SELKIRK Founder/Owner 424-421-4514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-01-12 |
| Last Update Date | 2025-04-14 |