| NPI | 1215288428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH ELLEN WATTS-MAGNESS Sole Member 888-283-2780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 004116) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |