| NPI | 1275007650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAIONA CALDWELL Owner 980-202-9064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2020-04-15 |