| NPI | 1053297747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDY MORRIS CEO 833-759-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 133V00000X Dietitian, Registered | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |