| NPI | 1003589235 |
|---|---|
| Doing Business As | HEARTHSTONE CLINIC |
| Entity Type | Organization |
| Authorized Contact | AUSTIN MATTHEWS Owner 225-500-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2021-07-24 |
| Last Update Date | 2022-08-04 |