| NPI | 1528804697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE JONES Owner 571-330-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-04-09 |