| NPI | 1477437994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DETRICA FREEMAN Owner 225-806-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |