| NPI | 1396562112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA SUE BLAND CEO 267-944-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP1600X Counselor Pastoral | |
| 103K00000X Behavior Analyst | |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 106S00000X Behavior Technician | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |