| NPI | 1538844881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA CROSE Owner 557-994-6478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |