NPI | 1164120515 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIK PAUL GOLDSCHMIDT Owner/Psychologist 251-504-1623 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-02-15 |
Last Update Date | 2023-02-15 |