| NPI | 1609447796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HUTCHENS Owner 035-974-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2022-08-18 |