| NPI | 1881164036 |
|---|---|
| Former Legal Business Name | JESSICA KUHNEN |
| Entity Type | Organization |
| Authorized Contact | JESSICA KUHNEN CEO 872-212-3424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |