| NPI | 1518591361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORVILLE W JOHNSON Owner/Counselor 251-269-1819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |