| 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 |