| NPI | 1609759943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER RAHIM Owner 270-307-1935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-08-15 |