NPI | 1154102788 |
---|---|
Doing Business As | ALYSSIA HAWTHORNE BINION |
Entity Type | Organization |
Authorized Contact | ALYSSIA BINION Owner 260-582-1835 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2023-10-10 |
Last Update Date | 2023-10-10 |