NPI | 1912740648 |
---|---|
Entity Type | Organization |
Authorized Contact | MARJNEH ROUHANI Owner 269-317-1948 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-06-18 |
Last Update Date | 2024-06-18 |