NPI | 1851750921 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA J PERRY Provider/Clinician 325-665-3390 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13565) |
Enumeration Date | 2016-02-18 |
Last Update Date | 2023-01-04 |