| NPI | 1790588804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIER ELIAS JIMENEZ HERNANDEZ Owner 939-585-6295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |