NPI | 1598508582 |
---|---|
Doing Business As | DONNA MILEY BLACKBURN MA |
Entity Type | Organization |
Authorized Contact | DONNA MILEY BLACKBURN Lpc 225-315-2415 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-06-17 |
Last Update Date | 2024-06-17 |