NPI | 1174313159 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA MURPHY Owner 888-454-1606 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2025-05-12 |
Last Update Date | 2025-06-02 |