| NPI | 1083335517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER KEBREAU FIDELIA CEO 339-205-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 101YS0200X Counselor School | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2024-01-11 |