| NPI | 1740741750 |
|---|---|
| Doing Business As | MODERN MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | AMANDA LYN MCKINNEY Director 765-444-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2024-02-07 |