| NPI | 1992396212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN SALADINO Owner 686-868-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |