| NPI | 1710849468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA LOPEZ CEO 424-503-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2025-12-02 |