| NPI | 1295393346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WALTERS Owner 606-875-7097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-01-31 |