| NPI | 1326637539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REKETTA S PETERSON CEO/Therapist 844-942-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-01-12 |