| NPI | 1184345845 |
|---|---|
| Former Legal Business Name | OLIVE GROVE COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | SARAH ELIZABETH FINE Owner 984-664-2605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |