| NPI | 1750872149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYISHA PARSHA Owner 531-444-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NE 5045) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2020-02-12 |