| NPI | 1588824205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CROLEY Vice President 888-996-3682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |