| NPI | 1902665698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA REINECK Owner 567-331-2278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2025-10-20 |