| NPI | 1003624099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY KOZEE Owner 251-616-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC0700X Psychologist, Clinical | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2024-12-21 |
| Last Update Date | 2024-12-21 |