| 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 |