NPI | 1568204253 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA MYERS CEO 866-912-2746 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2024-06-12 |
Last Update Date | 2024-06-12 |