| NPI | 1518351949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVERN R MOSELEY Chief Executive Officer 866-754-4973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MA 9543) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2022-03-24 |