| NPI | 1609684166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA FLORES DE VALGAZ Owner 910-941-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |