| NPI | 1629618921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH BANKS Owner 915-588-8984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2023-08-11 |