| NPI | 1063897262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GEORGE ECONOMOS CEO 855-473-4273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |