| NPI | 1588415699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENISE DARISME Therapist 877-790-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |