| NPI | 1508683319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELIA MARINA GONZALEZ Mental Health Counselor 857-209-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |