| NPI | 1881371086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH PARKER Owner 740-479-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2025-07-08 |