| NPI | 1831076900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MELTON President 385-262-7495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |