| NPI | 1366112823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLEN MARION President 270-202-8669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2023-04-17 |