| NPI | 1104786706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SARA HELLDOERFER Clinical Social Worker 380-235-9157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-11-15 |
| Last Update Date | 2025-12-06 |