| NPI | 1922989474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA BURNS Part Owner 870-204-6016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |