| NPI | 1295376234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BURNS Therapist 980-338-0358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |