| NPI | 1710604467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INEZ AUSTIN Licensed Professional Counselor 754-400-9947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |