| NPI | 1306368055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY W DAUGETTE Owner/Sole Proprietor 251-635-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 3784C) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |