| NPI | 1396420634 |
|---|---|
| Former Legal Business Name | MARY MIDDLETON COUNSELING, LLC |
| Entity Type | Organization |
| Authorized Contact | MARY MIDDLETON Owner 641-450-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |