| NPI | 1639898661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL WARD Clinical And Mental Health Counselo 980-413-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-10-18 |