| NPI | 1821677527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE BRADY Licensed Professional Counselor 855-573-4980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-08 |