| NPI | 1568218071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHTEN CLAIRE MCELROY Owner 251-689-0273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |