NPI | 1861267544 |
---|---|
Doing Business As | EYES OPEN COUNSELING SERVICES, LP |
Entity Type | Organization |
Authorized Contact | CADYN LIAM BURNSIDE Co Owner 712-790-0688 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-11-22 |
Last Update Date | 2023-11-22 |