| NPI | 1063199883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE WELSH Owner, Manager, Therapist 385-312-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-03 |