| NPI | 1730687104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY GOODRICH CEO 931-879-9454 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 3120) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2019-05-02 |