| NPI | 1235839689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN EUBANK Owner 765-748-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist Health Service |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |