| NPI | 1821898743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIETTE MARIE THOMPSON CEO, Clinical Director 754-450-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |