NPI | 1407562978 |
---|---|
Entity Type | Organization |
Authorized Contact | DEVANTE MARQUIS JONES CEO 346-758-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
251B00000X Case Management | |
251S00000X | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-01-27 |
Last Update Date | 2025-03-27 |