| NPI | 1205335049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE PETERS Licensed Clinical Social Worker 571-643-6170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09924446) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2022-10-19 |