| NPI | 1891659256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMAJANA HAMULIC Owner 225-239-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2025-12-10 |