| NPI | 1952002214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORRENDA SMITH Director 833-445-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106S00000X Behavior Technician | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| 171R00000X Interpreter | |
| 171W00000X Contractor | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2024-10-07 |