| NPI | 1417548249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURILIA JOANN GRAY-GRIMES President/Counselor 754-249-6359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |