NPI | 1912653213 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL SETH NICHOLS Owner/Counselor 682-376-4390 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-02-24 |
Last Update Date | 2025-03-19 |