| NPI | 1922863513 |
|---|---|
| Doing Business As | INNER SHALOM |
| Entity Type | Organization |
| Authorized Contact | VICTORIA MATA Owner, Sole Member/Manager 252-325-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |