| NPI | 1114596921 |
|---|---|
| Doing Business As | HOLSTEAD OUTPATIENT PSYCH EVALUATION (HOPE) & COUNSELING CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENELL HOLSTEAD Owner/Psychologist 920-544-2780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2022-05-31 |