NPI | 1265908644 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIELLE CROCKETT Owner 225-235-8108 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-10-23 |
Last Update Date | 2018-10-24 |