| NPI | 1215718192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SNIPES Owner 984-291-3654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-12 |