NPI | 1972015238 |
---|---|
Doing Business As | OM CENTER FOR WELLNESS |
Entity Type | Organization |
Authorized Contact | MARITSA YZAGUIRRE-KELLEY CEO 754-812-1599 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11108) |
Enumeration Date | 2017-10-26 |
Last Update Date | 2021-06-10 |