| NPI | 1629932835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE C DELICES Managing Member 342-296-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2025-12-11 |
| Last Update Date | 2026-01-15 |