| NPI | 1881201275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY YOUNG Owner/Provider 618-204-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |