| NPI | 1699422501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L MILLS Mental Health Counselor 779-529-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-24 |