| NPI | 1427720481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY COLLIC Director Of Reimbursement Operation 667-214-1334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-10-04 |