| NPI | 1689561292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON C. MCBRIDE Owner 765-423-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-08-18 |