| NPI | 1932949922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARNARRI COFIELD CEO 980-206-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-30 |