| NPI | 1881048320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM GOINS Professional Counselor 484-868-0584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV CP0128) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |