| NPI | 1659847085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SWATI MARNER Clinical Psychologist 267-587-7492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |