NPI | 1093600843 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA COLE Owner & Founder 980-785-4465 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
Enumeration Date | 2025-06-11 |
Last Update Date | 2025-06-11 |