NPI | 1497103139 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYVANN KEE Owner/Psychologist 267-607-3161 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PS017972) |
Enumeration Date | 2016-06-02 |
Last Update Date | 2016-06-02 |