| NPI | 1609319979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W MEYER Owner 866-924-5690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2017-04-27 |