NPI | 1841875333 |
---|---|
Doing Business As | CONSCIOUS LIVING THERAPY SERVICES |
Entity Type | Organization |
Authorized Contact | BRIAN AUSTIN TEAL Owner 901-604-7463 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-03-16 |
Last Update Date | 2021-03-23 |