| NPI | 1811733694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA RAE ROSINSKI CEO 339-293-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |