| NPI | 1932694874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANI PASCAL ANTUNES Therapist/Owner 240-388-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LPC16204) |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2021-08-09 |