| NPI | 1699630087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE COLLIER License Clinical Therapist 945-262-6386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-12-18 |
| Last Update Date | 2025-12-18 |