| NPI | 1578287983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH I JONES Owner 844-467-3467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2025-11-02 |