| NPI | 1972348431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS WILLIAMS Founder 984-500-7338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| 101YM0800X Counselor, Mental Health | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2025-09-26 |