| NPI | 1881316651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY NOEL GREEN Owner/ Outpatient Therapist 862-237-6791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2023-03-21 |