| NPI | 1265103584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WHEELER Owner 980-938-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-09-26 |
| Last Update Date | 2021-09-26 |