| NPI | 1013893726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA SANBORN LINDGREN CEO, CFO 424-209-2593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-20 |