| NPI | 1417898396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMEISHA RICHE LOLLIS Director, Owner 945-536-8083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-04-03 |
| Last Update Date | 2026-05-08 |