| NPI | 1164622544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA N GARZA President 502-224-0987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 2044) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004093A) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |