| NPI | 1447821293 |
|---|---|
| Doing Business As | GREEN COUNTRY THERAPEUTICS |
| Entity Type | Organization |
| Authorized Contact | JEFFERY ALLAN WILSON Managing Director 539-323-0125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2024-03-08 |