| NPI | 1568259075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R. CHASEN Owner And Clinical Director 984-484-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |