| NPI | 1205443512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON M MONTICK President 844-422-5386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2023-10-13 |