| NPI | 1598222622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OBRIEN CEO 888-232-2338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |