| NPI | 1962139501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY CHIA Owner 385-202-6113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2025-08-05 |