| NPI | 1477129856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA N WARREN Therapist 980-289-7475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 171400000X |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-05-27 |