| NPI | 1710119060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLANA SIMS CEO 980-521-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2013-06-11 |