| NPI | 1205451937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA HARPOOL Owner/Psychologist 270-836-1179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |