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 |