| NPI | 1063236214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CASOLARO Founder/Clinical Director 251-517-5398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |