| NPI | 1881014405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BET SHADDINGER CEO, Owner, Administrator 800-723-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2020-01-28 |