| NPI | 1831066240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE L PRICE Clinical Director 539-234-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251B00000X Case Management |
| 101YM0800X Counselor, Mental Health | |
| 174400000X Specialist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-11-02 |