| NPI | 1366113011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE PULLEN Owner 772-259-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2024-01-10 |