| NPI | 1184040321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KEVIN SOHR CEO 754-227-8937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11818) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 5753) |
| 251S00000X | |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |