NPI | 1346913779 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENTON RYAN BECKLEY Owner 740-497-2479 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-07-30 |
Last Update Date | 2021-07-30 |