| NPI | 1598548976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY LYNN GRAY Clinical Mental Health Counselor 712-260-3117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |