| NPI | 1215685334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MICHELLE MCGEE CEO 980-549-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2024-01-05 |