| NPI | 1154899318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLI PAPAS-PASCO Provider/CEO 757-912-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2020-06-03 |