| NPI | 1841991353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORY MCDANIEL Founder/Executive Director 194-189-7057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-09-06 |