| NPI | 1841780053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE PAUL Owner/Counselor 888-316-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 7983-C) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-30 |