NPI | 1235940586 |
---|---|
Entity Type | Organization |
Authorized Contact | KAILEE PETERSON Office Manager 385-399-0928 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2025-01-16 |
Last Update Date | 2025-01-16 |