| NPI | 1962264739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLAUME DUGU CEO 737-329-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-02-01 |