| NPI | 1811874183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERISH FORNEY Owner 276-337-2558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |