| NPI | 1154932879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CHARLES STONE Clinical Social Worker Telehealth P 339-987-9735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2023-11-27 |