| NPI | 1407501349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIETHA M ADAMS Owner/Therapist 346-386-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2024-05-21 |