| NPI | 1992623284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MCGUIRE Owner 475-239-4773 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2026-07-06 |
| Last Update Date | 2026-07-06 |