| NPI | 1699632885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOARINA REYES GALLEGO Owner 689-299-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 106S00000X Behavior Technician | |
| 222Q00000X Developmental Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-01-08 |