| NPI | 1790303915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIK MUHAMMAD CEO 800-540-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-08-10 |