| NPI | 1972226231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELEINE NAVARRO DIAZ Owner 725-204-2578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2023-05-22 |