NPI | 1528623964 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE DAVIS Founder 618-781-8442 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2019-05-01 |
Last Update Date | 2019-05-01 |