| NPI | 1851074363 |
|---|---|
| Doing Business As | MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | FELICIA DODD Owner 731-514-4034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-10-12 |