| NPI | 1760340822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL PARKER CEO/Founder/Pmhnp Bc 984-325-6143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X Community/Behavioral Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2026-01-15 |
| Last Update Date | 2026-06-28 |