| NPI | 1740984368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY COLLINS CEO 251-610-1618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-08-14 |