| NPI | 1639912041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN YARBROUGH Co CEO 765-202-3558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |