| NPI | 1205306313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G. MICHAEL PILCHER President 386-227-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2022-09-11 |