| NPI | 1437751476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SUGERMEYER Founder 571-426-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 171W00000X Contractor | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |