| NPI | 1174359798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE J BRUNSON Executive Director 267-332-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |