NPI | 1790447704 |
---|---|
Entity Type | Organization |
Authorized Contact | CHELSEA WALTON Lpcc, Mft/Owner 234-281-4325 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-10-06 |
Last Update Date | 2021-12-03 |