| NPI | 1689292138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MILLER Owner 848-863-9097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2021-06-07 |