| NPI | 1528580990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCELL J. SOCKWELL CEO / Director Of Operations 855-646-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-07-21 |