| NPI | 1811886781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANNY Y BIVIECA VALLEJO Owner 929-481-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |