NPI | 1306349733 |
---|---|
Entity Type | Organization |
Authorized Contact | JANESE SMALLWOOD Owner/Therapist 641-660-3801 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO csw09923794) |
Enumeration Date | 2018-03-12 |
Last Update Date | 2018-03-20 |