| NPI | 1578917001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JA'NET MACHELLE HOWARD CEO And Owner 267-355-9374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2024-06-13 |