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 |