| NPI | 1598344590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER CHARLES SWICK Therapist/Owner 458-600-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-09-10 |