| NPI | 1033947650 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOSHUA KAUFMANN President 877-825-8740 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| 101YP2500X Counselor, Professional | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-07-24 | 
| Last Update Date | 2025-10-10 |