| NPI | 1841982808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONTERICA WILLIAMS Owner 469-479-6685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 251S00000X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2024-07-30 |