| NPI | 1144954124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN-MARIE DENTON Chief Executive Officer 857-294-2958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-14 |