| NPI | 1982592986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC VAUGHN RION Sole Member 863-969-6544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-06-28 |