| NPI | 1235904483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANNA WALKER Clinical Director 725-600-2708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X | |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2024-09-16 |