| NPI | 1003764242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY HOLMES President 888-664-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TH0100X Psychologist, Health Service | |
| 104100000X Social Worker | |
| Enumeration Date | 2026-03-20 |
| Last Update Date | 2026-03-20 |