| NPI | 1245853688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE OAKLEY CUNNINGHAM Child And Family Therapist 424-241-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |