| NPI | 1851712061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE LEE GRIFFIN Owner/Director 877-214-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3005) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral (Licence: MD LC3005) | |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |