| NPI | 1639998263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTWONE OWENS Owner 725-293-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 251S00000X | |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |