| NPI | 1881378529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLA HEWLETT Manager/Owner 267-237-8297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2025-07-29 |