| NPI | 1700442233 |
|---|---|
| Doing Business As | CHERYL R MESIKANO TYLER |
| Entity Type | Organization |
| Authorized Contact | CHERYL R MESIKANO TYLER Owner 469-540-3182 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |