| NPI | 1255219150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA STEWART CEO 731-412-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-28 |