| NPI | 1568268837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA GOMEZ LOUDER Mental Health Counselor 980-202-0879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |