| NPI | 1437937331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALLEN ALLRED CEO 385-406-2869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2025-02-10 |