| NPI | 1891151106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN WOAZEAH Director 980-333-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |