| NPI | 1154914513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KONADU-FORD Therapist 980-494-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2026-01-25 |