| NPI | 1588344964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC L SOLODKY Licensed Clinical Pro Counselor 331-215-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-08-01 |