| NPI | 1144013988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANNE CREWS Owner 743-444-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-05-24 |
| Last Update Date | 2025-05-24 |