| NPI | 1750042263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA GARRARD Owner 870-723-1703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2023-08-13 |