NPI | 1558999656 |
---|---|
Entity Type | Organization |
Authorized Contact | TRENISE GRAVES Owner 985-516-3656 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
101YS0200X Counselor, School | |
103K00000X Behavior Analyst | |
1041C0700X Social Worker, Clinical | |
1041S0200X Social Worker, School | |
Enumeration Date | 2020-04-01 |
Last Update Date | 2020-04-01 |