NPI | 1679155667 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANA VALENTE GRACIO Therapist 531-239-4701 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-04-28 |
Last Update Date | 2021-04-28 |