| NPI | 1114670551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS WOODS CEO 888-544-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |