| NPI | 1306605894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN B. C. SMITH Psychologist 424-432-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |