| NPI | 1598425381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATARA LEANN SHEPPARD CEO 980-244-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2025-11-14 |