| NPI | 1336625060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE MAURICE HARVEY Owner 980-202-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2019-02-05 |