| NPI | 1578436648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY ELHARDT Owner 571-393-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |