| NPI | 1073475000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANNING SPRADLING Owner 701-504-5804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2025-11-28 |
| Last Update Date | 2026-06-18 |