| NPI | 1659107837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIERRA DOBBINS Owner 929-692-4710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |