| NPI | 1649064957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENI CHURCH HINES CEO 984-317-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |