| NPI | 1427757541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE EDER Owner 888-792-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-12-19 |