| NPI | 1659148880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ROSE ADKISSON CEO/Founder 909-266-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-07 |