| NPI | 1124762703 |
|---|---|
| Former Legal Business Name | AMY PHILLIPS LMSW, LLC |
| Entity Type | Organization |
| Authorized Contact | AMY E PHILLIPS Owner 814-360-0662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-04-21 |