NPI | 1629568027 |
---|---|
Doing Business As | WILLOW TREE COUNSELING AND CONSULTATION SERVICES LLC |
Entity Type | Organization |
Authorized Contact | IAN W BRADSHAW Owner 877-994-5569 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AR P1411090) |
Enumeration Date | 2018-05-11 |
Last Update Date | 2018-05-11 |