NPI | 1790397230 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM NORMAN THARKUR Owner 904-547-0480 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2020-08-17 |
Last Update Date | 2023-04-13 |