| NPI | 1942809363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI CRAWFORD Owner 870-897-9508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |