| NPI | 1972960144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO-ANN PRISCO Vice President 772-216-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 69109) |
| 101YM0800X Counselor, Mental Health (Licence: TX 69109) | |
| 101YP2500X Counselor, Professional (Licence: TX 69109) | |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2026-05-19 |