| NPI | 1093277550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SHERRILL-CORRY Owner/CEO 754-300-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |