| NPI | 1184349789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMRA RIVERS Therapist/Owner 270-501-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |