| NPI | 1881310126 |
|---|---|
| Doing Business As | WILSON THERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | DAVID WILSON Sw 863-232-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |