| NPI | 1114618774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANNA RACHEL BOWYER ANDERSON Founder 986-895-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2024-03-08 |