| NPI | 1811882483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHAWN COHEN Owner 346-451-6494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 106S00000X Behavior Technician | |
| 251B00000X Case Management | |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |