| NPI | 1417100140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN E CRUMITIE Owner/ CEO 386-754-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101Y00000X Counselor | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2021-07-01 |