| NPI | 1750863460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BRICKELL Owner/Counselor 888-355-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AL C2505A) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2024-07-15 |