| NPI | 1013003623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN SCHEEL President, Secretary 904-605-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2399) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 523) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-11-04 |