| NPI | 1487079562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAX FLOWERS Lcsw/Owner 866-730-7604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA CSW002378) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |