| NPI | 1407294648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLANA SIMS CEO 980-521-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-11 |