| NPI | 1972105393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILOMENA DOLCE Lcsw 424-260-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2020-11-10 |