| NPI | 1043689284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L COLLINS Owner, Counselor 251-725-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2023-11-14 |