NPI | 1881486595 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLY M PARKS Lac 520-392-0088 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC1900X Psychologist, Counseling | |
Enumeration Date | 2025-05-19 |
Last Update Date | 2025-05-19 |