NPI | 1912548991 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY LOUNSBURY Operations Director 386-454-0660 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
101YP1600X Counselor, Pastoral | |
101YS0200X Counselor, School | |
106S00000X Behavior Technician | |
251B00000X Case Management | |
251S00000X | |
Enumeration Date | 2019-10-01 |
Last Update Date | 2023-01-28 |