| NPI | 1962265603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONNIA SCHROEDER Owner 765-231-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2025-04-03 |