| NPI | 1689463721 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SYLWIA HARDMAN CEO 385-225-0464  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2025-05-05 | 
| Last Update Date | 2025-05-05 |