| NPI | 1619859238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORI FRUHAUF Owner 551-302-1794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |