| NPI | 1598556276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA KAESMEYER Mental Health Counselor 980-215-9322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-13 |