| NPI | 1487486999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA BEVERLY CARTER Clinician 689-249-1809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |