| NPI | 1154782563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIEANN CAMP Psychotherapist/Owner 254-400-9931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 11832) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-09-05 |