| NPI | 1396587598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY COLLINS Owner 740-934-6474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2025-11-16 |