NPI | 1215660345 |
---|---|
Entity Type | Organization |
Authorized Contact | CHINYERE HUNTER Owner 318-617-8316 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2022-07-06 |
Last Update Date | 2025-06-13 |