| NPI | 1285583765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA ANN FACIANE Chief Operating Officer 424-469-8393 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-01-27 |
| Last Update Date | 2026-01-27 |