| NPI | 1710684618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH GRAYSON President & CEO 833-588-4785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 1041C0700X Social Worker, Clinical | |
| 225XM0800X Occupational Therapist, Mental Health | |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2024-10-04 |