| NPI | 1881555357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN RESNICK Owner 628-282-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 103T00000X Psychologist | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2025-12-01 |