| NPI | 1871825695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEZELINE LINDOR Licensed Professional Counselor 571-330-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-04 |