| NPI | 1326802166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKEETSHA DRYER Owner 160-191-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-03-05 |