NPI | 1538668678 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY BOWDEN CEO 857-242-1139 |
Organization Subpart ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IN 28340) |
Enumeration Date | 2018-02-05 |
Last Update Date | 2018-02-05 |