| NPI | 1417892621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA L ROUTTEN Licensed Mental Health Therapist 339-832-2765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-04-22 |
| Last Update Date | 2026-04-22 |