| NPI | 1861031189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MAYO KAPLAN Psychotherapist 234-787-2654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |