| NPI | 1275425530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UQUISHA MOSELY Owner/Counselor 469-720-0976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-18 |