| NPI | 1821824269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W NEWMAN Owner 606-416-8276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |