| NPI | 1558257832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENELLA JENESE BROWN Owner/Administrator 877-255-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-06-14 |
| Last Update Date | 2025-06-14 |