| NPI | 1023332111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALRIE PARKS Executive Director 980-213-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |