| NPI | 1760244602 |
|---|---|
| Doing Business As | MY THERAPY PLACE |
| Entity Type | Organization |
| Authorized Contact | TARA ELIZABETH MCCOY Owner/Director 151-833-1529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |