| NPI | 1578369765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN ISAAC Owner And Administrator 346-564-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |