| NPI | 1427511278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY AMBER CADLE Clinical Director 276-202-8814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2022-08-07 |