| NPI | 1972357234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY COX Co Owner 606-425-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |