| NPI | 1639941834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY ANDERSON Owner 347-603-0690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |