| NPI | 1265210165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA JONES HALES Owner/Clinician 984-213-6434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2025-04-29 |