| NPI | 1669537130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN MITCHELL Administrator Owner 276-889-1954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2025-09-11 |