NPI | 1124722335 |
---|---|
Doing Business As | NEW SEASON CLINICAL COUNSELING |
Entity Type | Organization |
Authorized Contact | LARRY MALLORY Director 740-815-4739 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
251S00000X | |
Enumeration Date | 2023-03-30 |
Last Update Date | 2024-10-29 |