| NPI | 1164091930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIMI MARLENE FRENCH-TEMPLETON Executive Director 458-225-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |