| NPI | 1215791447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY MICHELLE BROWN MCCORMICK Member/Owner 740-200-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-08-22 |