NPI | 1033725676 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNY MARIE WAMSAT Licensed Clinical Psychologist 872-225-6391 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2020-09-18 |
Last Update Date | 2020-09-18 |