| NPI | 1972524031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM JARMAN Owner 765-932-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2024-10-01 |