| NPI | 1154009777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GREEN Clinician, Sole Member Of LLC 907-251-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |