| NPI | 1487433439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA M LOZANO Chief Executive Officer 346-786-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2024-10-24 |