NPI | 1790494722 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA HORNESS Owner 989-600-0929 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-11-17 |
Last Update Date | 2023-10-03 |