| NPI | 1609388875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARIE JENKINS-SIMMONS CEO, Founder, Counselor 475-999-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CT 009136) |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-10-27 |