| NPI | 1184327470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TYLER JARROUX-RITCHEY Sole Proprietor 848-229-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2026-01-14 |