| NPI | 1245107275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY EUGENE CAMPBELL Chief Therapy Officer 346-740-4814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-23 |