| NPI | 1447844915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI J CALDWELL Owner 463-442-2756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-07-07 |