| NPI | 1619675568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN PHILLIPS Owner/Clinical Social Worker 534-429-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-21 |