NPI | 1942447891 |
---|---|
Entity Type | Organization |
Authorized Contact | HILLERIE B. MADDOX Licensed Professional Counselor 267-978-7939 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2009-01-14 |
Last Update Date | 2009-01-14 |