| NPI | 1568993061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIERGELYN CHERY-REED Licensed Mental Health Counselor 857-600-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 10077) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2017-03-26 |