| NPI | 1376218784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY MORIAH BROOKS Counselor 980-425-7875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2023-06-01 |