| NPI | 1639830458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN PATRICK SINGH DYAL Executive Director 669-201-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-04-28 |