| NPI | 1366023434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICOLE HALL Owner/CEO 229-999-6804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2022-11-15 |