| NPI | 1275638082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN STEARNS Director Of Quality 088-414-1074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YS0200X Counselor, School | |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2024-11-26 |