| NPI | 1548805781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J HILFER CEO 855-437-6779 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |