| NPI | 1356985766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKENYA MCCALLISTER Owner 321-514-0371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |