| NPI | 1952256331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMION JERRELL HARMON Owner/ 980-233-0932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2026-03-02 |
| Last Update Date | 2026-06-15 |