| NPI | 1982292199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY TRAVIS CEO 866-413-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251B00000X Case Management |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2026-04-09 |