| NPI | 1306355904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES JONES CEO 833-446-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 574487) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 18po5723) |
| 163W00000X Registered Nurse (Licence: NJ 26nr15049900) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |