| NPI | 1487122701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN L MILLER Lcsw/Co Owner 862-222-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |