| NPI | 1831756725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA MIRTA CALDERAS Mental Health Therapist 346-314-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2019-05-25 |