| NPI | 1992591937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESTINE LYLES CEO 980-290-0919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-16 |