NPI | 1568907319 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA LAUREL THORNTON Owner And Neuro Psychotherapist 681-285-1133 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 2107) |
Enumeration Date | 2017-01-04 |
Last Update Date | 2017-01-04 |