| NPI | 1245780030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR LEAMON STEPHENS Co Owner/Therapist 765-215-7032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |