| NPI | 1669072666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIELLE FALARDEAU Owner 765-268-0183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |