NPI | 1770469462 |
---|---|
Entity Type | Organization |
Authorized Contact | KANDY MORRIS CEO 833-759-8720 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
133V00000X Dietitian, Registered | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2025-08-15 |
Last Update Date | 2025-08-15 |