| NPI | 1619717402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM HARRIS Owner 606-595-3218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-09-12 |