| NPI | 1376057026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA MORALES Social Worker 228-331-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C7442) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |