| NPI | 1003473885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE HOLMES President 862-294-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |