| NPI | 1124708912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MELISSA EDWARDS Founder/Psychologist 877-765-9694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-10-07 |