| NPI | 1619550589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILY RENEE MOORE Owner/Mental Health Counselor 731-394-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-04-29 |