| NPI | 1730786542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY A CUMBEST Owner 228-217-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2021-06-03 |