| NPI | 1205691797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA MCCLURE CEO 855-755-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 103TF0000X Psychologist, Family | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |