| NPI | 1861931594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN M DIQUATTRO Owner/Therapist 251-214-5899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL L445) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |