| NPI | 1548728520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDIEUS M SARPY Owner / Vice President 857-293-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103TC0700X Psychologist Clinical | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2021-11-02 |