| NPI | 1417435033 |
|---|---|
| Other Name | CRYSTAL MORLOCK |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MORLOCK Owner 774-312-1629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2019-06-07 |