| NPI | 1154844652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA POWELL CEO 866-804-3042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC13862) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 53995) |
| 101YP2500X Counselor, Professional (Licence: AZ 15471) | |
| 101YP2500X Counselor, Professional (Licence: TX 73681) | |
| 101YP2500X Counselor, Professional (Licence: CO 2801) | |
| 101YP2500X Counselor, Professional (Licence: MD LC3413) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-21 |