| NPI | 1245859388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY T GATHRIGHT Provider 267-288-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2024-01-17 |