| NPI | 1518529544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE THOMAS Sole Member 844-441-4409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2021-05-11 |