| NPI | 1801632849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY BEASLY YOUNG Vice President 855-725-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |