| NPI | 1841884210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA A LEE CEO 267-484-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |