| NPI | 1255015269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA OATES President 833-469-7859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |