| NPI | 1619613676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDA LORRAINE WEBB Certified Counselor 424-237-6085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |