| NPI | 1760243075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND M MCIVER CEO 980-207-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |