| NPI | 1639867765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA HOANG Licensed Professional Counselor 267-603-6094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |