| NPI | 1659133874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTEL WHITE Therapist/Owner 765-702-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2025-09-09 |