| NPI | 1982399515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALIL FARHAT Founder / CEO 332-205-2779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-12-11 |