| NPI | 1902613698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEYSA MILLS Licensed Therapist 606-622-0798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-17 |