| NPI | 1477062032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN DUNCAN Managing Member 888-509-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2022-07-21 |