| NPI | 1831352632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY L HARDEN President 5035-339-9806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1404) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |