| NPI | 1013585777 |
|---|---|
| Doing Business As | YOURPHAYVORITETHERAPIST |
| Entity Type | Organization |
| Authorized Contact | PHAECIA A WARD Owner 260-600-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-06-17 |