| NPI | 1245735836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA MARIE SNYDER Owner 386-490-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2022-11-18 |