| NPI | 1013516806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BROWN President 267-265-3765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |