| NPI | 1770472672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLA NICOLE ATWELL CEO 267-709-7147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |