| NPI | 1669266813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA MILLER Owner/Lpc 606-923-8106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-04 |