| NPI | 1790387074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL ROANN ROBERTSON Owner/ Peer Support 270-300-6819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2020-11-12 |