| NPI | 1407610934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C STEELE Executive Director 855-367-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 251S00000X | |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |