NPI | 1639635931 |
---|---|
Entity Type | Organization |
Authorized Contact | TARA DESIREE CONAWAY Reimbursement Ops Manager 667-214-1335 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-02-12 |
Last Update Date | 2019-02-13 |