| NPI | 1215414347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASHUNDA CARR CEO 915-301-0174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC4981) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: GA LPC4981) |
| Enumeration Date | 2018-07-21 |
| Last Update Date | 2020-08-14 |