| NPI | 1376273524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY ALEXANDRIA WASDIN President 251-250-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-06-12 |
| Last Update Date | 2022-06-12 |