| NPI | 1952151987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY STEPHENS Owner 606-516-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-01-10 |