| NPI | 1568204931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LANGFORD SNYDER Owner 267-388-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-21 |