| NPI | 1104246628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN CRUMITIE CEO 386-754-9005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2021-07-27 |