| NPI | 1124718473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L.A. MCCRAE Cco 667-289-5098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 102X00000X Poetry Therapist | |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine | |
| 2084P0301X Psychiatry & Neurology Brain Injury Medicine | |
| 221700000X Art Therapist | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-08-14 |