NPI | 1104373018 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG MCCULLOUGH President 182-877-5151 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 3661) |
Enumeration Date | 2016-09-08 |
Last Update Date | 2016-11-07 |