| NPI | 1598526659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN COCHRAN Owner, CEO 810-210-8462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2025-06-27 |