| NPI | 1093548075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH BUTLER SCROGGIN Licensed Clinical Social Worker 501-387-4188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |