| NPI | 1881278000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE LUGO Co Founder, Vice President 857-342-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 251S00000X | |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-05-12 |