| NPI | 1508736042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALIL FARHAT Founder/CEO 332-205-2779 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |