| NPI | 1316781735 |
|---|---|
| Doing Business As | STONEWALL BEHAVIORAL HEALTH AND MENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | NATHAN T SMITH Owner 765-354-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-07-09 |