| NPI | 1831062306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEQUILA WILLIAMS Owner 469-401-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 163W00000X Registered Nurse | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 171400000X Health & Wellness Coach | |
| 172A00000X Driver | |
| 174H00000X Health Educator | |
| 373H00000X Day Training/Habilitation Specialist | |
| 374J00000X Doula | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |