NPI | 1083236475 |
---|---|
Entity Type | Organization |
Authorized Contact | CHASITY HOLCOMB Therapist 731-612-1417 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-05-08 |
Last Update Date | 2020-05-08 |