| NPI | 1184244360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI ALLEN Promotions/Marketing 936-500-2463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-05-15 |