| NPI | 1407413131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON HAYS Owner 267-347-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |