| NPI | 1588279251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER YVETTE HARRINGTON Owner 980-422-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2022-10-11 |