| NPI | 1861980054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMARO M PILGRIM Founder Executive Director 844-222-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2022-11-14 |