| NPI | 1902534449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GLAUDY Director 346-388-5098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2023-08-10 |