| NPI | 1679380166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BELL WEST Owner 567-220-9195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2025-09-26 |