| NPI | 1881288553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILIRA COX Owner 551-444-2339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |