| NPI | 1730909821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA LAWSON CEO 331-701-9836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251E00000X Home Health | |
| 251S00000X | |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |