| NPI | 1568102416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA NELSON-JOHNS Therapist/Owner 013-735-7161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-03-30 |