| NPI | 1235099714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZARINAH VANCE Co Owner 947-900-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-11-17 |