| NPI | 1326620477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD RUSSELL WILLIAMS Chief Financial Officer 980-335-1972 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |