| NPI | 1114665593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN TRUE Owner 682-356-2961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2023-01-27 |