| NPI | 1104698307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HOUSE Lcpc Clinical Director And Owner 331-305-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2024-04-04 |