| NPI | 1275163339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMONE M DOWNEY LEONARD Owner/Clinical Social Worker 857-342-2018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |