| NPI | 1033700703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERISE JOY THOMAS Owner 424-219-0315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-26 |