NPI | 1831819622 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISHA MAE LOHMAN Owner 660-541-1218 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-08-31 |
Last Update Date | 2022-08-31 |