| NPI | 1407708548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY MILLER Owner 346-235-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2026-02-11 |
| Last Update Date | 2026-02-23 |