| NPI | 1164395620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUENDRIDA MCGLOWN CEO 980-469-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |