| NPI | 1598553331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORI FRUHAUF Owner 551-302-1794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |