NPI | 1730859885 |
---|---|
Entity Type | Organization |
Authorized Contact | KAMARIA ARIEL SIDMAN Principal 571-969-5264 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2021-09-19 |
Last Update Date | 2021-09-19 |