| NPI | 1104482074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH GAFFEY President 844-422-5386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2024-04-17 |