| NPI | 1013576172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASHAUNDRA ANN MCNEIL Clinical Social Worker 833-484-2878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-28 |