| NPI | 1992268270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ONEAL WINSTON Owner/Psychotherapist 769-524-4305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-06-11 |