| NPI | 1538520614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR DAWOOD CEO 844-536-8266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 208600000X Surgery | |
| 225X00000X Occupational Therapist | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2024-08-14 |