| NPI | 1518615632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA COSEY Owner 229-292-4944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-03-17 |