| NPI | 1982401725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UHODARI HENDRICKSON Owner 346-839-0889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-02-28 |