| NPI | 1235774589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA JAMES Owner 228-238-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2023-03-30 |