| NPI | 1851152961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATIYA WALIDA POPE Licensed Professional Counselor 267-977-8273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-17 |