| NPI | 1083152920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA NICOLLE ARSENEAU Office Manager 779-260-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2024-08-20 |