| NPI | 1255579983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENA F ROLDAN Owner 251-478-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 1352) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 0832) |
| 101YP2500X Counselor, Professional (Licence: AL 2085) | |
| 101YP2500X Counselor, Professional (Licence: AL 628) | |
| 106H00000X Marriage & Family Therapist (Licence: AL 163) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |