| NPI | 1508451956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANAHIL RIAZ Owner Operator 346-610-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2026-02-26 |