| NPI | 1063278471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY BUSH Owner 267-225-8763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2025-08-06 |