| NPI | 1164909834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA JOHNSON Owner 469-600-5056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |