| NPI | 1326639451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIARA WARD Owner 331-980-5513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2022-02-19 |