NPI | 1184320285 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA STEPHENS FISHER Sole Member 386-301-2770 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-02-01 |
Last Update Date | 2023-02-01 |