| NPI | 1932791571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY E ESHLEMAN Owner 872-201-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-04-02 |