| NPI | 1568976785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE UTLEY Licensed Professional Counselor 833-382-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701006033) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2024-06-05 |