| NPI | 1275209496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRA HAYES Owner 740-334-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |