| NPI | 1417618737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOAGLAND Owner / Clinical Social Worker 458-658-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-01-08 |
| Last Update Date | 2025-01-30 |