| NPI | 1740769728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR BATRIN Practice Administrator 857-452-6356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5297) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2023-10-20 |