| NPI | 1205501376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA MORRIS Executive Director 877-607-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2025-02-05 |