| NPI | 1215821970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL NICOLE COWAN Peer Support Specialist 980-355-2359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2026-01-10 |