| NPI | 1255106480 |
|---|---|
| Other Name | JANICE MOORE |
| Entity Type | Organization |
| Authorized Contact | JANICE MOORE Owner/Clinician 769-390-7929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |