| NPI | 1922992098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN LEE NISLEY Founder & Clinical Director 828-513-0989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |