| NPI | 1063196715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH SWIATEK Professional Counselor 980-330-1428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2023-06-16 |