| NPI | 1932956851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY VARELA Founder 571-206-8017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-06-01 |