| NPI | 1952188542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY ELIZABETH WALRAVEN Owner & Operator 806-319-1864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |