| NPI | 1205529849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA JONES Executive Director 833-833-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |